And we're all just sitting back as states waiting for lifetime appointed commie flakes like this to decide our fate?  Insane.  OABTW, with regard to the 'take the pill' death panels... bring it.

Next logical step would be getting rid of the Big Government loving Progressives at the state level advocating any genus of RomneyCare.

"I do not support a 'one size fits all' federal approach to health reform, which is where we would be if we were to allow the federal government to run a health-insurance exchange in Michigan," Gov. Rick Snyder has said. "But even if...a health-insurance exchange were not mandated by the ACA, I would still be in favor."

Treacherous a-hole.

Also note the Mike Leavitt name cited in the Wall Street Journal article.

"Exchanges are a very practical solution to a problem that needs to be solved," Mr. Leavitt, the consultant, told a governors' conference last year amid growing resistance to implementing the ACA. For that reason, the concept may survive the controversy and litigation over the law.

B-O-H-I-C-A